Vet Comp Orthop Traumatol 2009; 22(05): 422-426
DOI: 10.3415/VCOT-08-09-0092
Case Report
Schattauer GmbH

Spinal instability resulting from bilateral mini-hemilaminectomy and pediculectomy

G. Arthurs
1   The Royal Veterinary College, North Mymms, Hatfield, Hertfordshire, UK
› Author Affiliations
Further Information

Publication History

Received: 24 September 2008

Accepted: 01 March 2009

Publication Date:
18 December 2017 (online)

Summary

A four-year-old male Dachshund was presented with pelvic limb paresis due to inter-vertebral disc extrusion. The spine was surgically explored and decompressed by a bilateral mini-hemilaminectomy and intervertebral disc fenestration at T12–13, and a bilateral pediculectomy of T13. Five days postoperatively, the dog deteriorated because of T13 dorsal laminar subluxation and secondary spinal cord compression. This was surgically investigated and stabilised using bilateral articular facet positional screws and a dorsal spinal plate; the dog subsequently recovered well. Clinically significant spinal instability associated with mini-hemilaminectomy and pediculectomy surgery has not been reported previously.

 
  • References

  • 1 Jensen VF, Arnbjerg J. Development of intervertebral disk calcification in the dachshund: A prospective longitudinal radiographic study. J Am Anim Hosp Assoc 2001; 37: 274-282.
  • 2 Sharp NJH, Wheeler SJ. Thoracolumbar disc disease. Small Animal Spinal Disorders: Diagnosis and Surgery. 2nd ed. London: Elsevier 2005; 121-159.
  • 3 Butterworth SJ, Denny HR. Follow-up study of 100 cases with thoracolumbar disc protrusions treated by lateral fenestration. J Small Anim Pract 1991; 32: 443-447.
  • 4 Davies JV, Sharp NJH. A comparison of conservative treatment and fenestration for thoracolumbar intervertebral disc disease in the dog. J Small Anim Pract 1983; 24: 721-729.
  • 5 Jeffery ND. Treatment of acute and chronic thoracolumbar disc disease by 'mini hemilaminectomy';. J Small Anim Pract 1988; 29: 611-616.
  • 6 Levine JM, Levine GJ, Johnson I S. et al Evaluation of the success of medical management for presumptive thoracolumbar intervertebral disk herniation in dogs. Vet Surg 2007; 36: 482-491.
  • 7 Lubbe AM, Kirberger RM, Verstraete FJM. Pediculectomy for thoracolumbar spinal decompression in the dachshund. J Am Anim Hosp Assoc 1994; 30: 233-238.
  • 8 McCartney W. Partial pediculectomy for the treatment of thoracolumbar disc disease. Vet Comp Orthop Traumatol 1997; 10: 117-121.
  • 9 Moissonnier P, Meheust P, Carozzo C. Thoracolumbar lateral corpectomy for treatment of chronic disk herniation: Technique description and use in 15 dogs. Vet Surg 2004; 33: 620-628.
  • 10 Scott HW. Hemilaminectomy for the treatment of thoracolumbar disc disease in the dog: A follow-up study of 40 cases. J Small Anim Pract 1997; 38: 488-494.
  • 11 Scott HW, McKee WM. Laminectomy for 34 dogs with thoracolumbar intervertebral disc disease and loss of deep pain perception. J Small Anim Pract 1999; 40: 417-422.
  • 12 Yovich JC, Read R, Eger C. Modified lateral spinal decompression in 61 dogs with thoracolumbar disc protrusion. J Small Anim Pract 1994; 35: 351-356.
  • 13 Schulz KS, Walker M, Moon M. et al Correlation of clinical, radiographic, and surgical localization of intervertebral disc extrusion in small-breed dogs: A prospective study of 50 cases. Vet Surg 1998; 27: 105-111.
  • 14 Olby NJ, Dyce J, Houlton JEF. Correlation of plain radiographic and lumbar myelographic findings with surgical findings in thoracolumbar disc disease. J Small Anim Pract 1994; 35: 345-350.
  • 15 Smith JD, Newell SM, Budsberg SC. et al Incidence of contralateral versus ipsi-lateral neurological signs associated with lateralised Hansen type I disc extrusion. J Small Anim Pract 1997; 38: 495-497.
  • 16 Squires A, Brisson BA, Holmberg DL. et al Use of the ventrodorsal myelographic view to predict lateralization of extruded disk material in small-breed dogs with thoracolumbar intervertebral disk extrusion: 104 cases (2004–2005). J Am Vet Med Assoc 2007; 230: 1860-1865.
  • 17 Gibbons SE, Macias C, De Stefani A. et al The value of oblique versus ventrodorsal myelographic views for lesion lateralisation in canine thoracolumbar disc disease. J Small Anim Pract 2006; 47: 658-662.
  • 18 Olby NJ, Munana KR, Sharp NJ. et al The computed tomographic appearance of acute thoracolumbar intervertebral disc herniations in dogs. Vet Radiol Ultrasound 2000; 41: 396-402.
  • 19 Hill TP, Lubbe AM, Guthrie AJ. Lumbar spine stability following hemilaminectomy, pediculectomy, and fenestration. Vet Comp Orthop Traumatol 2000; 13: 165-171.
  • 20 Smith GK, Walter MC. Spinal decompressive procedures and dorsal compartment injuries: comparative biomechanical study in canine cadavers. Am Vet Res 1988; 49: 266-273.
  • 21 Schulz KS, Waldron DR, Grant JW. et al Biomechanics of the thoracolumbar vertebral column of dogs during lateral bending. Am Vet Res 1996; 57: 1228-1232.
  • 22 Corse MR, Renberg WC, Friis EA. In vitro evaluation of biomechanical effects of multiple hemilaminectomies on the canine lumbar vertebral column. Am Vet Res 2003; 64: 1139-1145.
  • 23 Shires PK, Waldron DR, Hedlund CS. et al A bio-mechanical study of rotational instability in unaltered and surgically altered canine thoracolumbar vertebral motion units. Progr Vet Neurol 1991; 2: 6-14.
  • 24 Bruce CW, Brisson BA, Gyselinck K. Spinal fracture and luxation in dogs and cats: a retrospective evaluation of 95 cases. Vet Comp Orthop Traumatol 2008; 21: 280-284.